JOHN BORNHOFEN (NPI# 1841380409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841380409 |
| Entity Type | Individual |
| Full Name | JOHN BORNHOFEN |
| Credential | MD |
| Practice Address |
1 Childrens Way # 653 Little Rock AR 72202-3500 |
| Practice Telephone | 5013641100 |
| Mailing Telephone | 5013641100 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
R-1856 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 104195001 | 05 |
| Street Address |
1 CHILDRENS WAY # 653 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235611 | Jessica R Snowden | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202 | 2005-09-13 |
| 1922620095 | Megan Elise Cole | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2020-05-12 |
| 1174156624 | Pamela Denise Royal | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2020-02-12 |
| 1245718576 | Sateesh Jayappa | Radiology | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-07-30 |
| 1427546720 | Shelby Jordyn Earnest-hastings | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202 | 2018-04-23 |
| 1730687450 | Mary Lynne Shults | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-01-28 |
| 1871001859 | Jennifer Lynn Livingston | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-01-12 |
| 1487168282 | Ryland Walt Steele | Physician Assistant | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2017-12-01 |
| 1225556632 | Paige Fenner | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202 | 2017-09-06 |
| 1902337280 | Julish Selvy | Registered Nurse | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
| 1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
| 1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
| 1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
| 1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
| Find all providers in zip 72202 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144596412 | Aravindhan Veerapandiyan | Psychiatry & Neurology | 1 Childrens Way # 512-15, Little Rock, AR 72202 | 2012-03-30 |
| 1336393784 | Debopam Samanta | Psychiatry & Neurology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2008-11-12 |
| 1316151459 | Virginia Erin Willis | Psychiatry & Neurology | 1 Childrens Way, Slot 512-15, Little Rock, AR 72202-3500 | 2007-05-09 |
| 1669562229 | Gregory Sharp | Psychiatry & Neurology | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1578653135 | Rolla Shbarou | Psychiatry & Neurology | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2006-10-13 |
| 1770673279 | Bernadette Lange | Psychiatry & Neurology | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
| 1700977980 | May Louyse Griebel | Psychiatry & Neurology | 800 Marshall St, Ach #653, Little Rock, AR 72202-3510 | 2006-09-27 |
| 1679530554 | Freedom F Perkins | Psychiatry & Neurology | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124148028 | Tonya M Balmakund | Psychiatry & Neurology | 519 Latham Dr, Lowell, AR 72745-8360 | 2007-04-02 |
| 1477510733 | Stephen R Bates | Psychiatry & Neurology | 800 S Church St, Ste 400, Jonesboro, AR 72401-4176 | 2006-04-28 |
| City | LITTLE ROCK |
| Zip Code | 72202 |
Please comment or provide details below to improve the information on JOHN BORNHOFEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.